Collaboration Brings Pediatric Hospitalists to ... - Magazooms
Collaboration Brings Pediatric Hospitalists to ... - Magazooms
Collaboration Brings Pediatric Hospitalists to ... - Magazooms
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Controversy also exists regarding treatment doses, schedule and<br />
duration. A recent report in <strong>Pediatric</strong>s highlighted several cases of<br />
mild hypercalcemia from vitamin D replacement. 3 Thus, take care<br />
when choosing a dose and treatment duration (Table 2). Follow up is<br />
needed <strong>to</strong> moni<strong>to</strong>r 25-hydroxy vitamin D, calcium and phosphorus<br />
levels. Special populations including children with malabsorption or<br />
obesity may require 2-3 times higher doses <strong>to</strong> reach goal 25-hydroxy<br />
vitamin D level >30 ng/ml.<br />
Table 2.<br />
Vitamin D Deficiency Treatment<br />
<br />
(IU/day) Maintenance (25-OH<br />
Dose<br />
vitamin D<br />
<br />
<br />
50,000IU wkly<br />
X 6 wks<br />
6-12 mos 600 1500 4000IU/day or<br />
50,000IU wkly<br />
X 6 wks<br />
<br />
50,000IU wkly<br />
X 8 wks<br />
<br />
50,000IU wkly<br />
X 8 wks<br />
8-19 yrs 600 4000 4000IU/day or<br />
50,000IU wkly<br />
X 8 wks<br />
*Special<br />
<br />
For more information, please call <strong>Pediatric</strong> Endocrinology at<br />
(864) 454-5100.<br />
References<br />
1. Holick MF. Vitamin D deficiency. N Engl J Med. 2007;357(3):266-81.<br />
2. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment and<br />
prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline.<br />
JCEM. 2011;96(7):1911-30.<br />
3. Vans<strong>to</strong>ne MB, Oberfield SE, Shader L, et al. Hypercalcemia in children receiving<br />
pharmacologic doses of vitamin D. <strong>Pediatric</strong>s. 2012;129(4):e1060-3.<br />
4. Wagner CL, Greer FR, AAP Section on Breastfeeding, et al. Prevention of<br />
rickets and vitamin D deficiency in infants, children and adolescents. <strong>Pediatric</strong>s.<br />
2008;122(5):1142-52.<br />
<strong>Pediatric</strong> Specialty Services<br />
William F. Schmidt III, M.D., Ph.D. ______________ (864) 455-8401<br />
Medical Direc<strong>to</strong>r; Chairman, Department of <strong>Pediatric</strong>s<br />
Kerry K. Sease, M.D., M.P.H. _________________________455-7879<br />
<strong>Pediatric</strong> Residency Program Direc<strong>to</strong>r<br />
Russ C. Kolarik, M.D. ________________________________455-7844<br />
Medicine-<strong>Pediatric</strong>s Residency Program Direc<strong>to</strong>r<br />
Desmond P. Kelly, M.D. ______________________________454-5115<br />
Developmental-Behavioral Fellowship Program Direc<strong>to</strong>r<br />
Adolescent <strong>Pediatric</strong>s _______________________________220-7270<br />
Allergy and Immunology ____________________________675-5000<br />
Ambula<strong>to</strong>ry <strong>Pediatric</strong>s ______________________________220-7270<br />
Cardiology _________________________________________454-5120<br />
Child Abuse and Neglect/Forensic <strong>Pediatric</strong>s __________<br />
Critical Care ________________________________________455-7146<br />
Developmental-Behavioral <strong>Pediatric</strong>s _________________454-5115<br />
Emergency <strong>Pediatric</strong>s _______________________________455-6016<br />
Endocrinology ______________________________________454-5100<br />
__________________________454-5125<br />
___________________________________________250-7944<br />
Hema<strong>to</strong>logy/Oncology ______________________________455-8898<br />
Infectious Disease __________________________________<br />
Neona<strong>to</strong>logy _______________________________________<br />
Nephrology ________________________________________454-5105<br />
Neurology__________________________________________454-5110<br />
Neurosurgery ______________________________________797-7150<br />
Newborn Nursery ___________________________________455-7970<br />
Orthopaedic Oncology ______________________________797-7060<br />
Orthopaedic Surgery ________________________________797-7060<br />
Plastic Surgery _____________________________________454-4570<br />
Pulmonology _______________________________________<br />
Radiology __________________________________________455-7911<br />
Sleep Medicine _____________________________________454-5660<br />
Surgery ____________________________________________455-5070<br />
Urology ____________________________________________<br />
Children’s Hospital Programs<br />
BI-LO ® Charities Children’s Cancer Center _____________455-8898<br />
Bryan Neonatal Intensive Care Unit __________________<br />
Child Life ___________________________________________455-7846<br />
Children’s Advocacy Program ________________________454-1100<br />
Cystic Fibrosis Clinic ________________________________<br />
Family Connection __________________________________<br />
________________454-5115<br />
Home Health _______________________________________454-8042<br />
Infant Apnea Program _______________________________<br />
International Adoptee Program ______________________<br />
Kidnetics (pediatric therapies) _______________________<br />
Neonatal Developmental Follow-up Services__________<br />
New Impact (weight management) _____________<br />
Office of Philanthropy & Partnership/CMN ____________<br />
Pas<strong>to</strong>ral Care _______________________________________455-7942<br />
<strong>Pediatric</strong> HIV Clinic __________________________________<br />
Safe Kids ® Upstate __________________________________454-1100<br />
Wonder Center _____________________________________<br />
Day treatment for medically fragile children<br />
For admission <strong>to</strong> Children’s Hospital: (864) 455-0000<br />
This number connects you <strong>to</strong> GHS’ Patient Referral and Transfer<br />
Center, which can handle all arrangements for admission.<br />
You also may call 455-7000 and ask the opera<strong>to</strong>r <strong>to</strong> page the<br />
admitting resident.<br />
Neonatal Transport ___________________________ (864) 455-7165<br />
To reach any Children’s Hospital physician or program, call<br />
1-800-4RBUDDY.<br />
<strong>Pediatric</strong> Outpatient Service Locations<br />
<br />
Anderson<br />
Cardiology<br />
Hema<strong>to</strong>logy/Oncology<br />
Nephrology<br />
Greenwood<br />
Cardiology<br />
Hendersonville<br />
Urology<br />
Call (828) 650-8032<br />
Spartanburg<br />
Cardiology<br />
Developmental-Behavioral<br />
Endocrinology<br />
Hema<strong>to</strong>logy/Oncology<br />
Nephrology<br />
Neurology<br />
Pulmonology<br />
Walhalla<br />
Neurology<br />
27
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